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North Dakota rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.21 / $865.84 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.26 / $755.77 / $1,139.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.36 / $1,729.95 / $2,035.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.68 / $1,786.69 / $2,335.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.21 / $1,009.67 / $2,127.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.89 / $1,557.94 / $6,464.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.00 / $1,366.64 / $2,257.48